For health providers to look up eligibility for insurance and benefits

See your Summary of Benefits using Coverage & Benefits Portal

Find in-network providers

Access your pharmacy benefits

See your claims status through the Benefits Portal

Learn more about other programs and services included with your plan

And much more.

Preferred Drug Lists

A Preferred Drug List (PDL) is a list of prescription medications chosen for their clinical value and cost-effectiveness by an independent panel of physicians and pharmacists. With our PDL, you and your doctor have the freedom to choose the medication that works best for you. Talk to your doctor about generic and preferred brand-name drugs whenever possible to help manage your prescription costs. Use our drug lookup tool to search for a specific drug.

Excluded Drug List - This is a list of drugs that are excluded from coverage, as well as how to request a formulary exception for an excluded drug.

Opioid Quantity Management Drug List - Your health plan is dedicated to ensuring that opioids are prescribed safely and appropriately. For that reason, we are changing the amount of opioid medication your benefit plan will cover beginning April 1, 2018. If your prescription is for more than the allowed quantity limit, your doctor will have to request and get prior authorization (PA) for your plan to continue to cover (pay for) that prescription.

Preferred Drug List - A Preferred Drug List (PDL) is a list of prescription medications chosen for their clinical value and cost-effectiveness by an independent panel of physicians and pharmacists. With our PDL, you and your doctor have the freedom to choose the medication that works best for you. Members are encouraged to talk to their doctors about generic and preferred brand-name drugs whenever possible to help manage their prescription costs. You can use our drug lookup tool to search for a specific drug.

Specialty Drug List - Specialty Drugs are prescription medications used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, multiple sclerosis and hepatitis, just to name a few. They are often self-injected and usually require patient-specific dosing and careful clinical monitoring. They may also require special handling and refrigeration. CVS/specialty, a division of CVS/Health, is an independent company that provides specialty pharmacy services on behalf of PAI.

NOTE: The PDL is subject to change without notice at any time during the year without prior notice to members or physicians. For updated PDL information, use the drug lookup tool above or call 1-888-963-7290.